Individual provider Active NPI

Jennifer Silverstein

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1992293518
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
308158 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-0001
Phone
(585) 507-6739
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 308158 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

58 Charles Ave
Massapequa Park, NY 11762-2822

Other identifiers 1

IdentifierTypeStateIssuer
365885357OtherNYDRIVER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001654 NY Practitioner - Pediatric Medicine 8426481615 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Jun 25, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Pediatric Group Univ of Rochester CurrentSince Jun 25, 2021 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 25, 2021 Accepting new patients
Pediatric Group Univ of Rochester Pediatrics CurrentSince Jun 25, 2021 Accepting new patients
Rochester General Hospital Pediatrics CurrentSince Sep 2, 2021 Accepting new patients
Rochester General Hospital CurrentSince Sep 2, 2021 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Legacy Pediatrics Pediatrics Past Accepting new patients
Legacy Pediatrics LLC Pediatrics Past Accepting new patients

Locations

601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#777
Rochester, NY 14642
Phone (585) 275-0995

Interoperability endpoints

  • Direct secure messaging: jsilverstein@legacypediatrics.medentdirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1992293518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CHARLES AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-507-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "308158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "365885357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.